Individual provider Active NPI

Brenda Luz Colon Arzola, O.T.

  • Occupational Therapist
  • Juana Diaz, PR
National Provider Identifier
1073723862
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
601 Issued in PR
Practice address
Bo. Amuelas #115
Carr. 592 KM. 5.6
Juana Diaz, PR 00795-2872
Phone
(787) 837-6574
Fax
(787) 260-0034
NPI assigned
May 23, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 601 PR Primary

Addresses

Primary practice location

Bo. Amuelas #115
Carr. 592 KM. 5.6
Juana Diaz, PR 00795-2872

Mailing address

PO Box 193789
San Juan, PR 00919-3789
Phone (787) 381-0247

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
601PRMDOptometrist

Practice roles

OrganizationSpecialtyStatusNew patients
Bridges for Health, Inc. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1073723862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 193789",
            "city": "SAN JUAN",
            "state": "PR",
            "postal_code": "009193789",
            "telephone_number": "787-381-0247",
            "fax_number": "787-260-0034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BO. AMUELAS #115",
            "address_2": "CARR. 592 KM. 5.6",
            "city": "JUANA DIAZ",
            "state": "PR",
            "postal_code": "007952872",
            "telephone_number": "787-837-6574",
            "fax_number": "787-260-0034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLON ARZOLA",
        "first_name": "BRENDA",
        "middle_name": "LUZ",
        "credential": "O.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PR",
            "license": "601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Juana Diaz, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.